Most Relevant Information
Provider Data
| NPI Number: | 1003195090 |
| Provider Name: | AMY LACHELLE COE P.T.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P1 60045885 |
Most Important Dates
| Enumeration Date: | 08/09/2011 |
| Last Updated: | 08/09/2011 |
Provider Practice Location
402 15TH AVE SE STE 100
PUYALLUP
WA
983723709
Practice Location Phone/Fax
| Phone: | 2536975200 |
| Fax: |
Provider Mailing Location
402 15TH AVE SE STE 100
PUYALLUP
WA
983723709
Provider Mailing Phone/Fax
| Phone: | 2536975200 |
| Fax: |